B/L fem access for B/L stents

bportcardio

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It is my udnerstanding you can not bill for secondary femoral access, is this correct still?

scenerio: physician did b/l kissing illiac stents and used b/l femorial access to do the procedure.
 

jmcpolin

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if you have separate punctures to reach the aorta on both sides you would bill 36200 and 36200-59, or 50 or RT LT whichever your carrier prefers.
 
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Jim Pawloski

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It is my udnerstanding you can not bill for secondary femoral access, is this correct still?

scenerio: physician did b/l kissing illiac stents and used b/l femorial access to do the procedure.
Another way to bill is if the second access does not go to the aorta, then you can have 36200, 36140-59. In your case of bilateral Iliac stent Placement, you need 37221, 37221-59. This includes access and imaging, if a true diagnostic arteriogram was not performed.

HTH,
Jim Pawloski, CIRCC
 

donnajrichmond

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It is my udnerstanding you can not bill for secondary femoral access, is this correct still?

scenerio: physician did b/l kissing illiac stents and used b/l femorial access to do the procedure.
Prior to 2011 if the doctor placed bilateral iliac stents from bilateral access you would have been able to code for 2 catheterizations. Each access is coded separtely.

Since 1/1/2011 you no longer code the catheterization separately. Bilateral iliac stents would be 37221 coded twice (37221, 37221-59; or 37221-50; or 37221-LT and 37221-RT depending on payer preference.)
 

jmcpolin

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Oh my gosh I did not even think about the stent placements I am getting rusty on my interventionals since I don't do them anymore :(
 
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